Committed to Your Pet’s
Healthiest & Happiest Life
Wellness Exams
A wellness exam is a comprehensive, nose-to-tail physical examination designed to assess your pet’s overall health and identify concerns early — often before symptoms are visible at home.
What We Evaluate
During a routine wellness visit, we evaluate:
- Weight and body condition score
- Heart and lung function
- Oral health and dental disease
- Eyes and ears
- Skin and coat quality
- Joint mobility and muscle condition
- Abdominal palpation to assess internal organs
- Lymph nodes and overall systemic health
We also review diet, behavior and anxiety, lifestyle, parasite prevention, and vaccination status. This is an opportunity to discuss subtle changes you may have noticed — appetite shifts, mobility concerns, behavior differences, or anything that feels “not quite right.”
What's Typically Included
For many pets, wellness visits also include:
- Vaccine updates
- Parasite screening
- Preventive laboratory testing
- Medication refills
- Skin and coat quality
- Nutritional guidance
Wellness exams are not just for “shots.” They are one of the most important tools we have for early disease detection. Many chronic conditions — kidney disease, thyroid disease, heart disease, arthritis — begin with subtle changes that can be identified during routine evaluation.
Vaccination Recommendations
For Dogs
Rabies
Distemper/Parvovirus (DA2PP/DHPP)
Leptospirosis
Lyme Disease
Bordetella
We individualize every vaccine plan. Our goal is appropriate protection based on risk — not a one-size-fits-all schedule.
For Cats
Rabies
FVRCP
FeLV
Nail Trimming
Nail trimming is an important part of your pet’s overall comfort and mobility—but it’s also a learned skill for both pets and people. It is very commonly stressful for pet owners, and it’s important to know that nail trims are often no less stressful for pets in the veterinary setting than they are at home. Our goal is to help you approach nail care in a way that prioritizes safety, reduces stress (on you and your pet), and improves long-term success.
For Dogs
What You’ll Need
● Dog nail clippers or a nail grinder (Dremel)
● Styptic powder or cornstarch (in case of bleeding)
● High-value treats
● Good lighting (headlamps work great)
Understanding the Nail
Each nail contains a blood vessel and nerve called the quick. Trimming too close to the quick can cause pain and bleeding. In light-colored nails, the quick is often visible (the pink part in the center); in dark nails, it is not—so trimming small amounts at a time is essential.
How to Trim
1. Choose a calm, quiet time and environment.
2. Gently but securely hold the paw.
3. Trim small amounts at a time, angling slightly downward.
4. Stop if you see a chalky white center or a darker dot—this means you’re close to the quick.
5. Reward frequently and take breaks.
If bleeding occurs, apply styptic powder or corn starch with gentle pressure for 30–60 seconds. Bleeding usually stops quickly.
More Information
Helpful Tips
● Frequent, small trims help the quick recede over time.
● Nail grinders can be useful but may be frightening for some dogs due to noise or vibration.
● It’s always okay to stop and try again another day.
Important Reminder About Nail Trimming
Nail trimming is training, not just grooming. “Fighting through it,” pinning pets down, or forcing restraint may get nails trimmed once—but it almost always leads to worsening fear and escalation over time. This is especially true in the veterinary office.
Because fear can occur both at home and in the veterinary setting, we strongly recommend:
● Slow, steady, reward-based training at home
● Working at your pet’s pace
● Stopping before fear escalates
For pets who struggle significantly, we frequently prescribe pre-appointment anti-anxiety medications for nail trims. These medications help reduce fear and allow the experience to be calmer, safer, and more humane for everyone involved.
For Cats
What You’ll Need
● Small cat or pet nail trimmers
● Treats or a favorite distraction
● A towel (optional)
● Good lighting
How to Trim
1. Pick a calm moment—after eating or during a nap often works well.
2. Gently press on the digital toe pad with your thumb and forefinger to extend the nail.
3. Trim only the sharp curved tip, staying well in front of the pink quick.
4. Start with just one or two nails and build tolerance gradually.
Many cats do best sitting in a lap (head facing away from you) or with a gentle towel wrap (“kitty burrito”). Avoid force—stress now often means more resistance later.
More Information
Training at Home: Slow and Steady
We recommend starting with:
● Gentle paw and nail handling
● Pairing each interaction with food, praise, or play
● Gradually progressing to holding clippers, touching nails with them, and eventually trimming
● Never “working through” a fight
This process may take days to weeks—and that’s completely appropriate.
An Alternative Option: Emery Board Training
For dogs who refuse traditional nail trimming at home, an alternative approach may be helpful. Some dogs and cats do very well learning to use a homemade emery board—such as sandpaper securely attached to a board or scratching-post–style surface—to naturally file their nails.
This method:
● Allows voluntary participation
● Can significantly reduce stress
● Works especially well for front nails in some dogs
Our team can help you decide whether this option is appropriate and how to introduce it safely and effectively.
When to Ask for Help
Please contact us if:
● Nail trims are consistently stressful or unsafe
● Nails are breaking, bleeding, or causing limping
● Your pet shows significant fear or aggression
We’re always happy to help with:
● Referrals to qualified groomers or behavior professionals
● Medication and Herbal support
● Sedated in hospital nail trims
Nail care should never be traumatic—for you or your pet.
Online Pharmacy Options
When prescriptions cannot be picked up through our in-house pharmacy, we encourage clients to use our integrated online pharmacy. Our online pharmacy connects directly to your pet’s medical record, allowing us to monitor prescriptions accurately, track refills appropriately, and reduce delays. Because it portals into our system, it minimizes communication errors and helps ensure medications are dispensed and delivered promptly and correctly.
In many cases, our pricing is often lower than large third-party retailers. National retailers such as Chewy have significant marketing visibility, which can make pricing appear more attractive at first glance. However, when comparing final cost, shipping, and manufacturer-backed guarantees, our online pharmacy is frequently more affordable.
When prescriptions are requested through outside pharmacies that are not integrated with our system, the process becomes more manual and time-intensive. Long hold times, missed calls, and transcription errors can delay treatment and increase the risk of miscommunication.
For most medications and preventives, we utilize Covetrus through our online platform. For compounded medications, we work with only reputable compounding pharmacies that follow strict quality standards, including Wedgewood Pharmacy, Stokes Pharmacy, and Mixlab. We will always provide written prescriptions upon request and encourage clients to compare options. Our goal is quick, stress-free medication options.
Joint & Mobility Support
Adequan (Prescription Joint Support)
When joint disease is moderate to advanced, Adequan is often the most effective option for meaningful joint support. Unlike supplements, Adequan is a prescription injectable medication with strong data behind it. It works at the level of the joint itself by helping protect cartilage, reducing destructive enzymes within the joint, and improving joint fluid quality. This addresses
the underlying disease process of osteoarthritis rather than simply supporting comfort. Adequan is unique because it bypasses the gastrointestinal tract entirely. Many oral supplements rely on absorption through the gut, which can be inconsistent and variable between patients. Adequan is administered by injection, allowing it to reach the joints reliably and at therapeutic levels. This makes it especially valuable for pets who cannot tolerate oral supplements, have gastrointestinal sensitivity, or have not responded adequately to nutraceuticals alone. In clinical practice, Adequan is often used as a foundation therapy for joint disease and can be combined with other supportive strategies such as weight management, physical rehabilitation, mobility support devices, and targeted supplements when appropriate. For many dogs, it provides more noticeable and consistent improvement in comfort and mobility than supplements alone. While no single treatment reverses arthritis, Adequan remains one of the most evidence-backed options available for slowing progression of joint damage and improving quality of life. For pets with significant mobility challenges, it is often the most impactful step we can take beyond supplements.
Myos
Myos is a muscle health supplement called fortetropin, which is derived from fertilized egg yolk that supports muscle mass and strength. This is especially important for senior pets, pets with arthritis, and pets recovering from injury or surgery, where muscle loss plays a significant role in weakness and mobility decline. Supporting muscle is just as important as supporting joints when it comes to long-term mobility.
Dasuquin / Cosequin
Glucosamine and chondroitin are among the most widely studied joint supplements in veterinary medicine. Products such as Dasuquin and Cosequin provide consistent, bioavailable formulations that support cartilage health and joint lubrication. These supplements work best when given consistently over time and early in the disease process rather than intermittently.
GlycoFlex (Type II collagen)
Type II collagen works differently than glucosamine and chondroitin. Rather than supporting cartilage structure directly, it helps modulate immune signaling within joints, reducing inappropriate inflammation. Because of this mechanism, Type II collagen supplements are typically used instead of, not in addition to, glucosamine and chondroitin. Using both together does not provide added benefit.
ElleVet
ElleVet products use hemp-derived CBD, which is non-toxic and non-psychoactive. These products are formulated specifically for veterinary use and have some of the strongest safety and efficacy data currently available in pets. CBD may help reduce pain and inflammation associated with osteoarthritis and can be a helpful adjunct for mobility support in select patients.
New Zealand green-lipped mussel extract
Green-lipped mussel extract shows promise for joint and mobility support due to its naturally occurring omega-3 fatty acids and anti-inflammatory compounds. Optimal dosing has not yet been clearly established, and research is ongoing. We will provide updated recommendations as more data becomes available as well as brands you can trust.
Omega-3 Fatty Acids (Fish Oil)
Bayer Free Form Fatty Acids (Snip Tips)
Nordic Naturals
Omega-3 fatty acids play an important role in joint health, skin support, inflammation control, cognitive aging, and kidney disease management. One of the most common issues we see is underdosing. Many over-the-counter fish oil products do not contain a high enough concentration of EPA and DHA—the components responsible for clinical benefit.
We use dosing guidelines from Colorado State University, which focus on the combined milligrams of EPA and DHA (the active ingredients for
inflammation control) rather than the total volume of oil. Fish oil should always be increased slowly, as starting at too high a dose can cause diarrhea. Gradual titration significantly improves tolerance.
Anxiety & Stress Support
ElleVet Calm
ElleVet Calm is often recommended for pets experiencing situational or chronic anxiety. It may help reduce anxiety without causing sedation and can be useful during recovery from surgery, environmental changes, or noise aversion.
Zylkene
Zylkene is a milk-derived supplement that supports relaxation by acting on natural calming pathways in the brain. It is well tolerated, making it a good option for pets with mild to moderate anxiety or as part of a multimodal anxiety plan.
VetriScience Calm & Confident
Calm &Confident combines several calming nutraceuticals like L-Theanine, Thiamine (Vitamin B1), and Colostrum Calming Complex (C3), which promote relaxation, support nervous system health, and aid cognitive function without causing drowsiness, alongside others like Ashwagandha, Tryptophan, and probiotics to manage stress and anxiety. and is commonly used for stress-related behaviors such as travel anxiety, veterinary visits, or routine changes.
VetriScience Golden Years Calm & Confident for Senior Dogs
As dogs age, anxiety often increases due to cognitive decline, sensory changes, or discomfort. This senior-specific formulation supports emotional balance and adaptability without sedation and is commonly used for nighttime restlessness, pacing, increased vocalization, and sensitivity to routine changes in older dogs.
Vision & Eye Health
Ocu-Glo
Ocu-Glo is recommended for ocular support in pets with cataracts or age-related eye changes. It contains antioxidants and nutrients that may help reduce oxidative stress within the eye. While supplements cannot reverse cataracts, Ocu-Glo may help support ocular health and slow
progression in some patients.
Cognitive Dysfunction & Sleep Regulation
Melatonin
Melatonin can be helpful for senior pets experiencing cognitive decline, particularly when sleep–wake cycles become disrupted. When given at night, melatonin may help regulate circadian rhythms and improve nighttime restlessness. Dosing and timing are important and should be guided by your veterinarian.
VetriScience Golden Years Calm & Confident for Senior Dogs
As dogs age, anxiety often increases due to cognitive decline, sensory changes, or discomfort. This senior-specific formulation supports emotional balance and adaptability without sedation and is commonly used for nighttime restlessness, pacing, increased vocalization, and sensitivity to routine changes in older dogs.
Omega-3 Fatty Acids (Fish Oil)
Bayer Free Form Fatty Acids (Snip Tips)
Nordic Naturals
Omega-3 fatty acids play an important role in joint health, skin support, inflammation control, cognitive aging, and kidney disease management. One of the most common issues we see is underdosing. Many over-the-counter fish oil products do not contain a high enough concentration of EPA and DHA—the components responsible for clinical benefit.
Liver Support
Denamarin
Denamarin is a well-studied liver support supplement that combines SAMe and silybin. It supports liver cell health, antioxidant activity, and detoxification pathways and is commonly recommended for pets with liver disease or elevated liver enzymes.
Kidney Disease Support
Diet and targeted supplements are the mainstay of preserving remaining kidney function and supporting quality of life in pets with chronic kidney disease. IRIS, the International Renal Interest Society, is a group of veterinary specialists that develops evidence-based guidelines for diagnosing and managing chronic kidney disease in dogs and cats.
IRIS created the Stage 1–4 kidney disease system used by veterinarians to guide treatment. This staging helps determine when to introduce specific therapies, such as renal diets, phosphorus control, hydration support, and targeted supplements, allowing care to be adjusted as kidney disease progresses while prioritizing both longevity and quality of life.
Using IRIS staging, Bedford Animal Hospital tailors recommendations based on disease severity and laboratory targets. As kidney disease progresses, additional supplements are typically layered in to address phosphorus control, hydration, inflammation, electrolyte balance, and metabolic complications.
Prescription Renal Diet
While this is not a supplement and it is a prescription, it felt important to add this information here. IRIS guidelines emphasize nutrition as the foundation of chronic kidney disease management once disease is staged. In cats and dogs, prescription renal diets are the primary way we control phosphorus intake and support long-term kidney health. The diets that are best studied, most widely recommended, and typically best tolerated include Hill’s k/d, Purina NF,
and Royal Canin Renal. Newer veterinary formulations, such as Farmina Vet Life Renal, may also be beneficial, but the three listed above have the strongest body of research supporting their use.
Cats (and sometimes dogs) with kidney disease are often selective eaters, and appetite fluctuations are common as disease progresses. For this reason, rotating between multiple prescription renal diets rather than relying on a single formula is often the most successful long-term strategy. Offering variety within renal options can improve acceptance and caloric intake while preserving kidney-protective benefits. In dogs, renal diets are often introduced as early as IRIS Stage 2; in cats, they are commonly introduced once phosphorus control becomes necessary, typically from Stage 2 onward.
Phosphate Binders
IRIS identifies phosphorus control as one of the most important modifiable factors in slowing kidney disease progression. After staging and transitioning to a renal diet, phosphorus levels are reassessed. If serum phosphorus remains above IRIS target ranges, phosphate binders are added—most commonly in IRIS Stage 2 through Stage 4, though decisions are driven by lab values rather than stage alone. Phosphate binders work in the gastrointestinal tract to bind
dietary phosphorus and prevent absorption. At Bedford Animal Hospital, we commonly use Phos-Bind, mixed with meals and adjusted based on follow-up phosphorus measurements.
Omega-3 Fatty Acids
IRIS recommends omega-3 fatty acid supplementation for dogs with chronic kidney disease, citing evidence that EPA and DHA may reduce inflammation and improve renal blood flow. Omega-3s are often introduced early—frequently in IRIS Stage 1 or Stage 2—and continued through all stages as part of long-term support. While evidence in cats is more limited, omega-3s are commonly used as supportive therapy across stages. We typically recommend Bayer Free-Form Omega-3 or Nordic Naturals for consistent dosing and purity.
Hydration Support
Maintaining hydration is critical at all IRIS stages. As kidney function declines, pets lose the ability to concentrate urine, increasing water loss and the risk of dehydration. Purina Hydra Care is a palatable, nutrient-enriched liquid designed to encourage voluntary fluid intake for cats. It is commonly introduced in IRIS Stage 1 or Stage 2 and often continued through later
stages—particularly in cats—to support hydration, appetite, and comfort.
Recommended Supplements
The unregulated nature of veterinary nutraceuticals creates a “wild west” market where product quality, dosing consistency, and ingredient accuracy vary widely, often leaving supplements ineffective. Because brands matter, the products recommended below are specifically chosen for their strict manufacturing standards, reliable formulations, and data-driven support.
Potassium Supplementation
Potassium imbalances are specifically addressed in IRIS recommendations, particularly for cats. Hypokalemia is common in feline CKD and is most often identified in IRIS Stage 2 or Stage 3, though it can occur at any stage based on labs. Low potassium can contribute to muscle weakness, poor appetite, and decreased quality of life. When indicated, we frequently recommend Renal K+, with dosing guided by serial bloodwork.es in older dogs.
Alkali Therapy
With advancing disease, some dogs and cats develop metabolic acidosis due to reduced renal acid excretion—most commonly in IRIS Stage 3 and Stage 4, after diet and phosphorus control are optimized. Alkali therapy is initiated only when bloodwork confirms low bicarbonate (total CO₂). Potassium citrate is typically selected when acidosis coexists with low potassium, while sodium bicarbonate is used when potassium levels are normal. Veterinary potassium citrate options include CitraVet or K‑Cit‑V, with dosing adjusted based on repeat monitoring.
Probiotics
Probiotics are a cornerstone of supportive care for pets with gastrointestinal disease. They are typically recommended during periods of active GI upset and continued for several weeks afterward to help reestablish healthy gut flora. Different probiotic strains have different effects, and some pets respond better to one formulation than another. If a probiotic does not lead to
improvement, switching to a different strain is often recommended.
At Bedford Animal Hospital, our preferred probiotic is FortiFlora ProSA, which we carry in-hospital. FortiFlora ProSA is different from over-the-counter FortiFlora products in that it is formulated specifically for GI disease and includes immunomodulatory effects, meaning it helps regulate and calm inappropriate immune responses within the gastrointestinal tract, not just add
beneficial bacteria. It is also highly palatable, making it easier to give to pets that are not feeling well. Other well-researched options include Proviable, one of the best-studied veterinary probiotics with strong evidence for treating diarrhea, and Visbiome, a high-potency, multi-strain probiotic often used in more chronic or severe GI cases. The primary downside of Visbiome is that it must be refrigerated, which can make shipping, storage, and travel less convenient.
Cancer Support
Adjunctive, Case-Dependent
For certain types of cancer, specific supplements may be used as adjunctive support alongside conventional diagnostics and treatment. These supplements are not curative and are not appropriate for every cancer type.
I’mmunity
I’mmunity contains lion’s mane mushroom extract, which is being studied for immune-modulating effects. Some cancers appear to respond to immune system support rather than direct cytotoxic therapy. Research is ongoing, and use is case-dependent.
Yunnan Baiyao
Yunnan Baiyao was originally developed for its anti-bleeding properties and has historically been used in Vietnam and other parts of Asia. In veterinary medicine, it is most commonly used to help manage bleeding risk associated with certain tumors, particularly those prone to spontaneous hemorrhage.
Immune Support in Cats with Respiratory Disease
VetriScience Lysine Chews
Research on lysine supplementation in cats with upper respiratory disease is mixed. While definitive benefit has not been proven, lysine is considered safe and does not appear to cause harm. For this reason, it is often recommended as a low-risk option for cats prone to respiratory flare-ups.
Skin & Coat Support
Dermaquin
Dermaquin supports skin barrier function and coat health using a combination of essential fatty acids and antioxidants. It is commonly recommended for pets with chronic skin disease or poor
coat quality.
Wellactin
Wellactin is another excellent option for skin and coat support and provides a consistent, veterinary-formulated source of omega-3 fatty acids. It can be used alongside or as an alternative to Bayer Free Form Fatty Acids (Snip Tips) and Nordic Naturals, depending on tolerance and dosing needs.
Gastrointestinal Disease
Targeted supplements and supportive therapies play an important role in managing gastrointestinal (GI) disease in pets, especially when used alongside appropriate diagnostics and dietary adjustments. Testing helps guide therapy, and treatments are often layered based on the underlying cause, severity of signs, and the pet’s response over time.
Vitamin B12 (Cobalamin)
Vitamin B12 supplementation is recommended after testing confirms deficiency, which is common in pets with chronic intestinal disease, malabsorption syndromes, or certain pancreatic and intestinal disorders. Oral B12 supplementation can work well, particularly in mild cases; however, injectable B12 is typically absorbed more reliably and is often preferred in moderate to severe disease. Our staff can easily teach owners how to administer B12 injections at home, making this an effective and low-stress long-term option for many pets. Levels are often rechecked to ensure an appropriate response.
Folate
Folate levels are evaluated through bloodwork and supplemented only when abnormalities are identified. Low folate may indicate malabsorption, while elevated folate can suggest bacterial overgrowth in the small intestine. Folate results help guide diagnosis as well as treatment planning, and supplementation is used in a targeted, monitored manner when indicated.
Constipation Support
For cats experiencing constipation, MiraLAX (polyethylene glycol 3350) is a gentle and effective option that we commonly recommend. It works by drawing water into the stool, helping to soften feces and promote more regular bowel movements. A typical starting dose is ⅛ teaspoon mixed into food twice daily, adjusted as needed to achieve at least every-other-day stool production in
constipated cases. Dosing is individualized based on response, and many cats tolerate long-term use very well.
Endosorb
Endosorb is a non-medicated adsorbent used to help manage acute, simple diarrhea, most commonly in dogs. It is made from purified clays that bind excess fluid, toxins, and intestinal irritants within the gastrointestinal tract, helping to firm stools. Endosorb is available here in the hospital for pick-up at any time. It is less commonly used in cats, as the tablets can be difficult for cats to consume due to their size and taste.
Final Note
Supplements and over-the-counter medications can be valuable tools when chosen thoughtfully and used correctly, but more is not always better. The right product, at the right dose, from a trusted manufacturer matters far more than the number of products being given. If you are ever unsure what is appropriate for your pet—or whether a supplement is needed at all—we are happy to help guide you based on your pet’s individual needs, medical history, and stage of life.
Parasite Prevention
Choosing a Prevention Strategy
Multiple effective parasite prevention products are available. We do not endorse one single product over another — several strategies work well when used consistently and correctly. We are happy to discuss options and help you choose an approach that fits your pet’s lifestyle and your comfort level. It is important to note that some homeopathic and certain over-the-counter products do not contain active ingredients proven to provide reliable protection.
For Cats
Parasite prevention for cats is based on lifestyle. Indoor cats can still be exposed to fleas and infectious agents carried into the home. Cats that are active hunters are at higher risk for intestinal parasites such as tapeworms. Outdoor cats are at increased risk for fleas, intestinal parasites, and zoonotic infections like ringworm. Routine prevention, deworming, and screening are strongly recommended for these pets. Kittens require routine deworming during early development.
For Dogs
Heartworm Prevention
Monthly heartworm prevention is recommended year-round for all dogs. Treatment for heartworm disease is lengthy, uncomfortable, and significantly more expensive than prevention. Most monthly heartworm preventives also function as broad-spectrum dewormers, protecting against common gastrointestinal parasites such as roundworms and hookworms — parasites that can affect both pets and people. Annual heartworm testing is required for these prescription medications, even when prevention has been given consistently.
Tick Prevention
Routine Fecal Screening and Deworming
Dental Care
Your pet’s oral hygiene can reveal a lot about their overall health. Bedford Animal Hospital provides comprehensive pet dentistry services, including dental cleanings, x-rays, and tooth extractions.
We’ll examine your pet’s oral cavity for signs of gum disease and other health care issues. We’ll also help you develop better oral hygiene practices to maintain your pet’s health and wellness.
Comprehensive Dentistry
As the most common yet often overlooked medical condition in dogs and cats, dental disease affects the majority of pets by three years of age, frequently developing without obvious at-home symptoms. Far more than just “bad breath,” it is a progressive infectious and inflammatory condition that damages the gums, roots, and bone, causing chronic pain and potentially leading to severe systemic issues in the heart, liver, and kidneys. Recognizing these significant long-term health implications, modern veterinary medicine treats oral health with the utmost seriousness, focusing on early recommendations and proactive interventions to protect your pet’s well-being.
Our comprehensive dental procedures are performed under general anesthesia and include:
- Full oral examination and dental charting
• Digital dental radiographs to evaluate roots and bone below the gumline
• Ultrasonic scaling and polishing
• Targeted oral surgery when disease is advanced
• Individualized treatment planning and aftercare instructions
To ensure both safety and quality, veterinary dentistry is performed under general anesthesia. An endotracheal tube protects the pet’s airway from water and bacteria, while anesthesia allows for a thorough evaluation, cleaning below the gumline, precise surgical procedures, and essential dental radiographs, which reveal critical problems hidden beneath the surface. In contrast, awake, “non-anesthetic” cleanings fail to address disease below the gumline, and visual inspections alone are insufficient for a true oral health assessment.
Proactive, early intervention is highly recommended to reduce pain, improve long-term outcomes, and control costs. While a routine cleaning without extractions typically ranges from $600 to $900, advanced disease requiring extractions can escalate costs into the thousands due to increased surgery time, monitoring, and advanced imaging. To minimize these expenses and slow periodontal disease, daily at-home tooth brushing is the most cost-effective strategy, and veterinary teams are available to provide guidance and realistic strategies for success.
Nutrition Support & Dietary Planning
There Is No One "Right" Diet
The “right” diet is not one-size-fits-all. We support a wide range of feeding approaches, including commercial kibble, fresh prepared or frozen diets, and home-cooked diets. Our role is to help guide choices in a way that supports your pet’s individual health needs, lifestyle, and medical conditions.
Individualized, Calorie-Based Nutrition Plans
Our nutrition recommendations are individualized and calorie-based, rather than focused on brand names or marketing claims. Each plan takes into account age, life stage and activity level, current weight and body condition, underlying medical conditions, and appetite changes.
Our Approach to Dog Nutrition
For dogs, we recommend diets that meet AAFCO nutritional standards, provide appropriate calorie density, balance macronutrients and micronutrients, and include grains. We recommend grain-inclusive diets based on ongoing research linking certain grain-free diets to diet-associated heart disease, including dilated cardiomyopathy.
Our Approach to Cat Nutrition
Raw Diets
Certified Nutrition Support
We recommend the Pet Nutrition Alliance website as a reliable, evidence-based resource for pet owners to better understand how many calories a pet actually needs, how to evaluate diets beyond marketing claims, and why portion size matters more than volume.
Laboratory Testing
We offer comprehensive in-house and reference laboratory testing to support early detection, accurate diagnosis, and thoughtful medical monitoring. Our diagnostic capabilities include full blood panels, which evaluate organ function, red and white blood cell counts, electrolytes, and overall metabolic health.
Expanded In-House Capabilities
We have significantly expanded our in-house laboratory capabilities, allowing for more timely results and faster clinical decision-making. In-hospital testing now includes:
- Complete blood counts (CBC)
- Comprehensive chemistry panels
- Urinalysis testing
- Tickborne illness and heartworm screening
- Thyroid function testing
- In-house cortisol testing for adrenal disease evaluation
- Advanced microscopy for cytology and parasite identification
- Holter monitoring for extended cardiac rhythm assessment
These expanded capabilities allow us to diagnose and monitor many conditions more efficiently without unnecessary delays.
Wellness & Advanced Screening
We also offer wellness screening panels designed to establish baseline values in healthy pets and identify subtle trends over time. Early detection often allows for earlier intervention, sometimes before clinical signs are apparent at home. For pets with specific medical concerns, we provide advanced diagnostics including allergy testing, endocrine testing, infectious disease screening, and cancer screening panels when appropriate. More specialized testing is performed through trusted veterinary reference laboratories to ensure depth and accuracy.
Advanced Imaging
We have significantly expanded our imaging capabilities to provide more comprehensive diagnostics within our hospital. In addition to our full digital radiology suite, we offer digital dental radiology, allowing us to evaluate tooth roots, bone loss, and hidden dental disease that cannot be seen on visual examination alone. We also work closely with boarded radiology specialists who are available for consultation and interpretation of complex imaging studies when needed.
Ultrasound
We have added updated ultrasound equipment to provide improved point-of-care imaging for basic abdominal assessments. This allows us to evaluate certain conditions more quickly and efficiently during appointments, especially when evaluating urinary issues. For full abdominal or thoracic ultrasound studies requiring advanced imaging protocols, these are performed through our visiting boarded specialists to ensure the highest level of expertise.
In-House Specialty Services
While we are a general practice, we are able to provide select advanced services within our hospital through visiting, board-certified specialists. These services include:
- Cardiology consultations and echocardiography (cardiac ultrasound) with a boarded cardiologist
- Abdominal/thoracic ultrasounds and endoscopic procedures with a boarded internal medicine specialist
- Advanced soft tissue and orthopedic surgical procedures with a boarded veterinary surgeon
For these services, traveling veterinary specialists come directly to our practice to perform your pet’s procedure. They communicate their findings with our team, and we review results and recommendations with you to ensure continuity of care.
Not every case is suited for in-hospital specialty management. When referral to a 24-hour specialty center is in your pet’s best interest, we will guide you through that process and coordinate care accordingly.
Soft Tissue Surgery
We perform a wide range of soft tissue surgical procedures within our hospital. Every surgery is approached thoughtfully, with careful planning, modern anesthesia protocols, and comprehensive pain management.
Common Procedures
Common procedures performed at our hospital include:
- Spaying and neutering
- Mass removals and biopsy procedures
- Limb amputations
- Cherry eye repair
- Cystotomies (bladder stone removal)
- Select abdominal surgeries
- Aural hematoma repair
- Enucleation (eye removal)
- Eyelid corrective surgery
- Oral surgery and extractions
- Mastectomy (mammary gland removal)
Not every case is appropriate for routine in-hospital management. When a procedure would benefit from advanced specialization, we may coordinate with one of our traveling board-certified specialists to perform the surgery at our hospital. In other situations, referral to a 24-hour specialty center may be recommended.
Anesthesia and Pain Management
All soft tissue procedures are performed under general anesthesia with continuous monitoring, including heart rate, oxygenation, CO2 monitoring, blood pressure, temperature, and ventilation. Pre-anesthetic laboratory testing is required. We utilize multimodal pain management for every surgical patient. Anesthesia often begins at home with a combination of light pain and calming medications given the morning of surgery and continued after the procedure. This approach reduces anxiety, allows us to use lower levels of anesthetic medications, and contributes to a smoother and safer experience overall.
The Day of Surgery
Recovery and Discharge
Spaying and Neutering
Anesthesia & Monitoring
All spay and neuter procedures are performed under general anesthesia with full monitoring, including heart rate, oxygenation, CO2 monitoring, blood pressure, and temperature. Pre-anesthetic laboratory testing is required. We utilize multimodal pain management for every surgical patient. Anesthesia typically begins at home with light pain and calming medications given the morning of surgery and continued after the procedure.
What Else Can Be Done While Under Anesthesia
For pets being hospitalized for surgery, we require current fecal screening and certain core vaccinations. Whenever possible, we use this surgical event as an opportunity to address additional concerns while your pet is safely anesthetized. This often includes:
- Microchipping for permanent identification
- Removal of retained deciduous (baby) teeth
- Umbilical hernia repair
- Evaluation and correction of other minor congenital or developmental concerns
Combining procedures under a single anesthetic event reduces overall stress, lowers cumulative anesthesia exposure, and is often more cost-effective than performing them separately.
The Day of Surgery & Recovery
Drop-off is scheduled in the morning and typically takes about 15 minutes. Pets are monitored throughout the day and provided food and water once fully awake and stable. Pick-up is typically scheduled in the afternoon — we do not provide overnight hospitalization for routine spay and neuter procedures. Most pets recover very well. The hardest part of recovery is usually the cone, which must be worn consistently for 10–14 days to protect the incision.
Acupuncture
Veterinary acupuncture is a medical therapy used to help manage pain, improve mobility, support healing, and enhance quality of life. At Bedford Animal Hospital, acupuncture is practiced as part of an evidence-based strategy and is used alongside diagnostics, medications, rehabilitation, and other therapies. Our approach is rooted in modern anatomy, neurophysiology, and clinical research.
A Brief History of Acupuncture
What Makes Our Approach Different?
While acupuncture originated within Traditional Chinese Veterinary Medicine (TCVM), our hospital practices evidence-based veterinary acupuncture (EVBA). This uses acupuncture points based on anatomic, neurologic, and myo-fascial pathways; focuses on measurable physiologic effects; is fully integrated into conventional veterinary medicine; and is guided by diagnosis, imaging, lab work, and clinical response. Acupuncture for us is a medical tool, not an alternative philosophy — allowing it to complement rather than replace conventional veterinary care.
Conditions We Commonly Treat
What to Expect During an Acupuncture Visit
How Many Treatments Will My Pet Need?
Is Acupuncture Right for Your Pet?
Photobiomodulation (Laser Therapy)
Laser therapy — also called photobiomodulation — is a gentle, non-invasive treatment we use to help reduce pain, decrease inflammation, and support tissue healing. Sessions are calm and comfortable, and most pets relax during treatment.
How Laser Therapy Works
Conditions We Commonly Treat with Laser Therapy
- Osteoarthritis and chronic joint pain
- Back pain and some soft tissue injuries
- Decreased discomfort and inflammation after surgery
- Targeting painful gingivitis during dental procedures
- Supporting wound healing after infections
What a Session Looks Like
Why Class IV Veterinary Lasers Are Different
Post-Operative Care
Activity Restriction & Rest
Anesthesia Recovery: What to Expect in the First 24 Hours
Incision Monitoring & Wound Care
Pain Control & Medications
Appetite, Vomiting & Diarrhea
Bathroom Habits & Constipation
Sleep & Behavior Changes
Licking, Chewing & Protective Devices
When to Contact Us
Pet Support Devices and Products
Mobility Support for Dogs
Help 'Em Up Harness
Bulk Yoga Mats
One of the simplest and most effective ways to support dogs on slippery flooring. Provide excellent traction on hardwood, tile, and laminate floors. They are washable, cost-effective, and far less frustrating for dogs than boots or socks.
Raised Feeders
Dr. Buzby's ToeGrips
Exercise, Strengthening & Surgical Support
FitBone
E-Collars
Surgical Suits
No Flap Ear Wrap
Limb Injury & Wound Support
DogLeggs
MediPaw Boots
Vision Loss Support
Walkin' Pets Halo
For dogs experiencing vision loss, the halo acts as a gentle buffer, preventing face and shoulder collisions while dogs learn to navigate their environment safely. Many dogs regain confidence and independence as they adjust to vision changes.
Wound Care at Home: Cleaning Simple Skin Wounds
How to Clean & Treat Minor Wounds at Home
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Prep the Area: Never use scissors to cut matted fur, as this easily cuts the skin. Use pet clippers to trim around the wound, or gently wipe the area with a wet towel if clippers aren’t available.
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Clean & Dry: Flush with lukewarm water 1–2 times daily. Gently cleanse (no aggressive scrubbing) using clean gauze and either diluted chlorhexidine (Hibiclens) or diluted dish soap (Dawn/Ivory), rinsing thoroughly afterward. Pat completely dry to prevent trapped moisture from causing infection.
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Apply Ointment (Dogs Only): Apply a thin layer of plain triple antibiotic ointment. Avoid formulas with added pain relievers or steroids (like lidocaine or hydrocortisone), which delay healing or harm your pet if licked.
Lick Prevention & When to See a Vet
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Protect the Wound: Lick prevention is critical for proper healing. Always use a recovery cone, bodysuit, or protective covering to stop your pet from licking the wound or ingesting topical ointment.
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Normal Healing: Minor wounds should show noticeable improvement—with decreased redness and irritation—within 24 to 48 hours.
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When to See a Vet: Seek immediate veterinary care if the wound worsens, or if it is a deep, gaping, or puncture wound (including all animal bites). Do not treat at home if you see visible fat/tissue, continuous bleeding, foul odor, discharge, or if your pet becomes lethargic or loses their appetite.
Additional Services
Bedford Animal Hospital is committed to helping pets and their owners throughout Hillsborough County and the Manchester, NH, region. As part of our commitment, we offer a diverse range of veterinary services to support animals in all stages of life, including:
- Hospice
- Euthanasia Services
- Microchipping
- Pain Management
Bedford Animal Hospital
33 Old Bedford Rd
Bedford, NH 03110
Business Hours
Monday & Tuesday 8 AM ‒ 6 PM
Wednesday-Friday 8 AM ‒ 6 PM
Saturday ‒ Sunday Closed